Provider Demographics
NPI:1366296865
Name:JANA HARTJEN PSYD, LLC
Entity type:Organization
Organization Name:JANA HARTJEN PSYD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTJEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:856-208-7225
Mailing Address - Street 1:1814 ROLLING LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3326
Mailing Address - Country:US
Mailing Address - Phone:856-208-7225
Mailing Address - Fax:
Practice Address - Street 1:1814 ROLLING LN
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3326
Practice Address - Country:US
Practice Address - Phone:856-208-7225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health